Lab results

LAB

Result

Day 1

Result

Day 2

Normal

Range

Hemoglobin

7.1g/dL

6.2g/dL

Female: 11.7-15.5

g/dL.

Male: 14- 17.3 g/dL

Hematocrit

26%

24%

Female: 36%-48%

Male: 42%-52%

Platelets

35,000mm3

20,000mm3

150,000-

450,000mm3

RBC

4.5 mm3

3mm3

Female: 4.01-5.51

million/mm3 Male: 4.51-

The nurse is caring for a client, the lab results are listed in the table. The nurse would anticipate the administration of which blood product(s) for this client?

Cryoprecipitate and red blood cells

Platelets and fresh frozen plasma

Packed red blood cells and platelets

Fresh frozen plasma and cryoprecipitate

Answer and Explanation

The Correct Answer is C

A.   Cryoprecipitate is indicated for low fibrinogen or clotting factor issues, but the client’s primary issue
here is anemia and thrombocytopenia.
B.   FFP is used to replace clotting factors. While it could be considered in certain situations, in this case, the primary concern is the severe anemia and thrombocytopenia.
C.   This is the most appropriate choice, as the patient has low hemoglobin (anemia) and a very low platelet count, both of which require packed red blood cells and platelets.
D.   This combination is typically used for clotting factor issues, not anemia and thrombocytopenia.

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Correct Answer is D

Explanation

A. The 20-gauge catheter in the right wrist is not ideal for blood transfusions, as wrist veins are smaller and may be less optimal for high-flow transfusions.
B. An 18-gauge catheter is appropriate for blood transfusions, but the catheter is currently in use for potassium chloride, which would need to be discontinued. The best choice is a separate site.
C. A 22-gauge catheter is not large enough for blood transfusion; it may cause hemolysis or slow the transfusion rate.
D. The 20-gauge catheter in the right forearm is an appropriate size for a blood transfusion and is currently infusing normal saline, which does not interfere with the blood transfusion.

A. prepare to place the client in a single room. B. ask the client if they wish to speak to a spiritual advisor. C. explore the possibility of suicidal thoughts with the client. D. explain to the client that they will not die for a long time.

Correct Answer is C

Explanation

A. While privacy may be important for a patient who is emotionally distressed, the priority is addressing
the client’s emotional state, not the physical environment.
B. This might be helpful later, but the priority is to explore the patient's feelings and concerns regarding their condition first. Immediate emotional support is more important at this stage.
C. When a patient expresses feelings of hopelessness, as in this case, the nurse must assess for potential suicidal ideation. This is a priority to ensure patient safety and to provide necessary psychological support or intervention.
D. While reassurance is important, providing false or unrealistic expectations can lead to further disappointment. The nurse should focus on addressing emotional distress and offering realistic support rather than giving definitive assurances.

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			Male: 14- 17.3 g/dL
Hematocrit	26%	24%	Female: 36%-48% Male: 42%-52%
Platelets	35,000mm3	20,000mm3	150,000- 450,000mm3
RBC	4.5 mm3	3mm3	Female: 4.01-5.51 million/mm3 Male: 4.51-

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Naxlex Comprehensive Predictor Exams

The nurse is preparing to start a transfusion of packed red blood cells for a client with a hemoglobin of 5.4 g/dL. (normal Female: 11.7-15.5 g/dL; Male: 14-17.3 g/dL). Which IV site should the nurse use?

Correct Answer is D

Explanation

The physician has just informed a client with advanced heart failure that a left ventricular assist device (LVAD) will be needed. The client is crying and says to the nurse, "I just know that I am going to die. What's the point of treatment?" The priority nursing action is to:

Correct Answer is C

Explanation

The nurse is assessing the client with a recent pacemaker placement. The client's monitor is displaying what type of rhythm?

A client presents to the Emergency Department (ED) complaining of a "racing" heart and nervousness. The client also admits to a history of cocaine abuse. The cardiac monitor displays the rhythm below. Which nursing intervention should the nurse perform?

The nurse is performing the initial assessment of a client diagnosed with heart failure. Which question should the nurse ask to best assess the client's respiratory status?

The nurse is providing discharge instructions for the client diagnosed with heart failure. Which information should the nurse provide to assist the client to limit complications and prevent future hospitalizations? (SELECT ALL THAT APPLY).

A patient is prescribed 250 mL of packed red blood cells to be transfused over 120 minutes. The drop factor on the tubing is 15 gtt/mL. At what rate should the nurse regulate the IV (gtt/min)? (round to the nearest whole number)

The nurse is caring for a client in the coronary care unit and the monitor depicts the rhythm shown below. What is the nurse’s interpretation of this rhythm?

Which behavior observed by the nurse causes a suspicion that a depressed client may be suicidal?

Upon assessment of the client's lungs, the nurse hears continuous, high-pitched, musical sounds. This should be documented as: